Infection Nursing Diagnosis & Care Plan


Infections are often the result of pathogens through direct contact with a host. There are a variety of treatment options, depending on the root cause. Nurses are responsible for the care of these patients and for collaborating with other healthcare professionals.
Nursing care plans are developed by nurses to identify long-term and short-term goals for the patient as well as goals.
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What is an Infection?
Infections can be caused by various pathogens, including bacteria, viruses, fungi, or parasites. They range from mild, which can be managed at home, to life-threatening, such as sepsis. Some infections, such as chickenpox, can be prevented by vaccines.
Common Symptoms of Infections
Signs and symptoms of an infection can be specifically related to the type of infection and pathogen or can be more ambiguous. Common infection symptoms include:
- Fever
- Muscle ache
- Headache
- Color change
- Coughing
- Diarrhea1
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Infection Causes
Infections are typically caused by four types of pathogens:
- Bacteria: Bacteria are single-celled organisms with their instructions written on a small piece of DNA.
- Virus: A virus is a piece of information (DNA or RNA) inside of a protective shell (capsid).
- Fungi: Fungus overgrow and invade the body.
- Parasite: Parasites use the bodies of other organisms to live and reproduce.2
Common Types of Infections
Bacteria
- Strep throat
- Pertussis
- Gonorrhea
- E. coli
- Urinary Tract Infection
- Tuberculosis
Virus
- Common Cold
- COVID-19
- Hepatitis
- Influenza
- RSV
- AIDS
Fungi
- Thrush
- Vaginal yeast infection
- Ringworm
- Athlete’s Foot
Parasite
- Malaria
- Giardiasis
- Toxoplasmosis1
Organisms can enter the body through direct or indirect contact or vector transmission.
How to Develop an Infection Nursing Care Plan
Developing a nursing care plan helps nurses and other healthcare professionals ensure that short-term and long-term goals for the patient are met.
The first consideration when developing a nursing care plan for infection is to determine a patient’s goals. While parts of the nursing care plan are things you come up with, the nursing diagnosis must be on the NANDA-I approved nursing diagnosis list.
According to the North American Nursing Diagnosis Association (NANDA), a nursing diagnosis is “a clinical judgment about the human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community.”
A nursing diagnosis is rooted in Maslow’s Hierarchy of Needs pyramid and helps prioritize treatments. Based on the nursing diagnosis, you’ll set goals to resolve your patient’s problems through nursing implementations determined in the next step.
NANDA-I separates nursing diagnoses into four categories:
- Problem-focused: A diagnosis based on patient problems present during a nursing assessment.
- Risk: A diagnosis based on risk factors that require intervention from a nurse or healthcare team before a real problem develops.
- Health promotion: A diagnosis that intends to improve the overall well-being of an individual, family, or community.
- Syndrome: Based on a cluster of nursing diagnoses that occur in a pattern or can all be addressed through the same or similar nursing interventions.
Determining the most important goals for the patient and the corresponding nursing diagnosis provides the basis to create an infection care plan that can best support the patient while reaching those goals.
Infection Nursing Care Plan Components
A nursing care plan has several key components, including:
- Nursing Diagnosis
- Expected outcome
- Nursing interventions and rationales
- Evaluation
Each of the five main components is essential to the overall nursing process and care plan. A properly written care plan must include these sections. Otherwise, it won’t make sense.
- Nursing diagnosis: A clinical judgment that helps nurses determine the plan of care for their patients.
- Expected outcome: The measurable action for a patient to be achieved in a specific time frame.
- Nursing interventions and rationales: Actions to be taken to achieve expected outcomes and reasoning behind them.
- Evaluation: Determines the effectiveness of the nursing interventions and determines if expected outcomes are met within the time set.
Infection Nursing Care Plan Examples
All nursing diagnoses must be NANDA-I approved and have corresponding definitions to help guide nurses in writing a nursing care plan.3
- NANDA-I Definition of Infection: A state in which an organism invades and multiplies in the body's tissues, causing an immune response.
1. Sore Heel
Risk for infection related to grade 3 pressure sore on heel as evidenced by visible subcutaneous fat, pain, inability to walk, and diagnosis of diabetes mellitus.
As Evidenced By:
- Redness around wound
- Swelling around wound
- Fever
- Foul oder
- Drainage
- Pain
Expected Outcome:
- The patient will remain free of infection.
- The patient’s pressure sore will start to grow healthy, viable tissue throughout hospitalization.
- The patient will meet with a diabetes educator to discuss diabetes management, including checking blood sugars and diet.
- The patient will understand the importance of frequently turning of bony prominences.
- The patient will visit a podiatrist for foot skin checks every month post-hospitalization.
Nursing Interventions:
- Frequent repositioning of patient
- Use of pressure-relieving mattress
- Good skin hygiene
- Use of antibiotics as ordered
- Consult wound care for proper wound cleaning and dressing
- Consult nutritionist for wound healing diet
- Perform comprehensive skin checks and take pictures as needed
2. Preterm Premature Rupture of Membranes
Risk for infection as evidenced by preterm premature rupture of membranes (PPROM) as evidenced by early contractions, amniotic fluid leaking from vagina, and low grade fever.
As Evidenced By:
- A history of PPROM
- Short cervical length
- Second- or third-trimester vaginal bleeding
- Amniocentesis and other antenatal intrauterine procedures
- Uterine overdistension
- Connective tissue disorders
- Congenital uterine anomalies
- Nutritional deficiencies of copper and ascorbic acid
- Low body mass index
- Vaginal bleeding
- Ehlers-Danlos Syndrome
- Low socioeconomic status
- Cigarette smoking and recreational drug use4 (Dayal, et. al.)
Expected Outcome:
- The patient will show no signs or symptoms of infection related to premature rupture of membranes during hospitalization.
- The patient will pass NIPT exams during the shift.
- The patient will remain on bedrest except for one wheelchair outing per shift.
Nursing Interventions:
- Monitor amniotic fluid leaking and evaluate fluid for color, odor, and volume
- Test all fluid from vagina
- Perform ultrasounds and NIPT as ordered
- Maintain bedrest as ordered
- Monitor fetal movement during shift
- Monitor vital signs
- Maintain strict aseptic technique during vaginal examinations
- Conduct Leopold maneuvers to assess the fetal position, presentation, and engagement
- Observe for signs of chorioamnionitis
- Administer antibiotics as ordered
- Encourage fluids and oral hydration
- Educate patients and their families about the risks and benefits of management
- Provide pharmacological and non-pharmacological treatment options2
Popular Online Master of Science in Nursing (MSN) Programs

GCU's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals.
Enrollment: Nationwide

Earn a valuable nursing credential at Purdue Global’s School of Nursing. Expand your expertise and prepare to take on leadership and independent practice opportunities. Complete your courses online, on your schedule.
Enrollment: Nationwide, but certain programs have state restrictions. Check with Purdue for details.

Earn your nursing degree from one of the largest nursing education providers in the U.S. Walden University’s BSN, MSN, post-master’s APRN certificate, and DNP programs are accredited by the Commission on Collegiate Nursing Education (CCNE). Get enhanced practicum support with our Practicum Pledge.
Enrollment: Nationwide, excluding CT, ND, NY and RI. Certain programs have additional state restrictions. Check with Walden for details.

WGU's award-winning online programs are created to help you succeed while graduating faster and with less debt. WGU is a CCNE accredited, nonprofit university offering nursing bachelor's and master's degrees.
Enrollment: Nationwide

Georgetown University is one of the world’s leading academic and research institutions, and the School of Nursing has been delivering graduate nursing programs in a distance-learning environment since 2011. Georgetown's online programs allow students to learn from wherever they are while they pursue an accredited, mission-driven nursing education that will allow them to deliver high-quality care.
Enrollment: Nationwide, excluding NY and WA.
Other Nursing Care Plans
References
1 McCance, Kathryn L., Pathophysiology: The Biologic Basis for Disease in Adults and Children. 8 ed., Elsevier, 2019.
2 Ball, Jane W., Seidel's Guide to Physical Examination: An Interprofessional Approach. 9 ed., Elsevier, 2019.
3 Herdman, T. H., Shigemi Kamitsuru, and Camila Lopes, eds. 2024. NANDA-I International Nursing Diagnoses: Definitions & Classification, 2024-2026. 13th ed. N.p.: Thieme Medical Publishers.
4 Dayal S, Jenkins SM, Hong PL. Preterm and Term Prelabor Rupture of Membranes (PPROM and PROM) . In: StatPearls . Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532888/.
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